N. Hannoush Jewelers, Inc. and Massachusetts Bay Ins. C/O Hanover Ins. Group v. Patrick Bly
CourtDistrict Court of Appeal of Florida
Date FiledJune 30, 2021
Docket1D20-2439
StatusPublished
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Full Opinion
FIRST DISTRICT COURT OF APPEAL
STATE OF FLORIDA
_____________________________
No. 1D20-2439
_____________________________
N. HANNOUSH JEWELERS, INC.
and MASSACHUSETTS BAY INS.
c/o HANOVER INS. GROUP,
Appellants/Cross-Appellees,
v.
PATRICK BLY,
Appellee/Cross-Appellant.
_____________________________
On appeal from an order of the Office of the Judges of
Compensation Claims.
Jack Adam Weiss, Judge.
Date of Accident: October 11, 2019.
June 30, 2021
PER CURIAM.
In this workers’ compensation appeal, both parties challenge
the order of the Judge of Compensation Claims (JCC) in which he
granted Claimant’s request for a one-time change of physician of
his choice pursuant to section 440.13(2)(f), Florida Statutes, and
awarded temporary partial disability (TPD) benefits “subject to the
payment of unemployment benefits,” together with associated
attorney’s fees and costs. We affirm the order in its entirety and
write only to address the effect of Claimant’s receipt of
unemployment compensation benefits on the amount of the TPD
award.
When Claimant filed a petition for benefits (PFB) seeking
TPD benefits from the date of accident (October 11, 2019) and
continuing, the E/C filed a response denying the request but also
asked Claimant to fill out “Employee Earnings Report” (DWC-19)
forms in order to report any earnings he was receiving during the
periods for which he was claiming TPD benefits. Claimant
reported on these forms that he began receiving unemployment
compensation benefits on November 2, 2019.
The E/C then asserted, not only that no TPD benefits were
due, but alternatively that Claimant’s unemployment
compensation benefits “ha[d] to be offset,” asking the JCC “that it
be credited” to them to result in a smaller amount of liability.
Claimant, in turn, asserted that any offset argument is an
affirmative defense which must be specifically pled in accordance
with procedural rules, and that by not pleading the defense in the
pretrial stipulation the E/C had waived it. See Fla. Admin. Code R.
60Q-6.113(2)(h).
In the final order, the JCC awarded TPD benefits from
October 29, 2019, to November 8, 2019, less the amount of
unemployment compensation benefits Claimant had received
during that period, reasoning that unemployment compensation
benefits are primary under section 440.15(10)(b), * Florida Statutes
(2019):
If an employee is entitled to temporary partial benefits
pursuant to subsection (4) and reemployment assistance
or unemployment compensation benefits, such
reemployment assistance or unemployment
compensation benefits shall be primary and the
temporary partial benefits shall be supplemental only,
* Subsection (10) was numbered as subsection (11) prior to
1982, and then again from January 1, 1994, to October 1, 2003. See
Ch. 82-237, s. 1-3, Laws of Fla.; Ch. 93-415, s. 20, 112, Laws of Fla.;
Ch. 03-412, s. 18, 50, Laws of Fla.
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the sum of the two benefits not to exceed the amount of
temporary partial benefits which would otherwise be
payable.
When Claimant moved for rehearing, he reiterated his position
that the E/C had failed to preserve its argument on the effect of
the unemployment compensation benefit payments on Claimant’s
entitlement to TPD benefits. The E/C countered that they had
preserved the issue by including the sentence “Claimant has
subsequent employment and earnings” in their defenses on the
pretrial stipulation. The JCC found the argument preserved but
expressly ruled that the effect of Claimant’s receipt of
unemployment compensation benefits on TPD benefits “is not an
offset.”
On cross-appeal, Claimant is challenging, not the period of
time for the award, but the amount; he argues again that any
“offset” of unemployment compensation benefits is improper
because the E/C did not assert entitlement to an offset for the
unemployment compensation benefit payments as an affirmative
defense in the pretrial stipulation. We disagree with the premise
that a Claimant’s receipt of unemployment compensation benefits
results in an offset, and therefore we disagree that the E/C’s
argument below was an affirmative defense necessitating
additional pleading requirements.
Although this Court has held that an E/C must plead
entitlement to an offset for certain benefits payments as an
affirmative defense, see Medina v. Miami Dade Cnty., 300 So. 3d
255 (Fla. 1st DCA 2020) (discussing an E/C’s offset for payment of
wages in lieu of benefits), we agree with the JCC that a claimant’s
receipt of unemployment compensation benefits does not result in
an offset. An offset is a reduction in an amount of worker’s
compensation benefits the E/C must pay, a credit against the E/C’s
liability for such; for example, workers’ compensation benefits
“shall be reduced” when an injured worker becomes eligible for
Social Security benefits if the sum of the total payable benefits
would “exceed 80 percent of the employee’s average weekly wage”
(unless it would reduce benefits beyond what 42 U.S.C. s. 424(a)
would have done). See § 440.15(9)(a), Fla. Stat. (2019) (creating
reverse offset).
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But a claimant’s receipt of unemployment compensation
benefits does not “reduce” a claimant’s entitlement to TPD
benefits. See § 440.15(10)(b), Fla. Stat. (2019). Rather, a claimant’s
entitlement to TPD benefits is “supplemental” to any
unemployment compensation benefits the claimant receives,
which are “primary.” See id. Thus, when a claimant’s
unemployment compensation benefits payments exceed what
would otherwise be that claimant’s full amount of TPD benefits (up
to 66 2/3 percent of that claimant’s average weekly wage, but for
the unemployment compensation), the claimant has no
entitlement to TPD benefits. See id.; see also § 440.15(4)(a), Fla.
Stat. (2019). And thus a claimant’s unemployment compensation
benefits are not “offset” against any TPD benefits to which the
claimant is entitled.
Even so, we acknowledge that this Court has twice suggested
that unemployment compensation benefits paid to a Claimant
should be “offset” against TPD benefits payable to the Claimant,
see Nat’l Advertising/3M v. Wise, 590 So. 2d 1028, 1029 (Fla. 1st
DCA 1991) (finding JCC miscalculated “offset” under
§ 440.15(10)(b)), and Ocean Manor Resort Hotel v. Garbalosa, 512
So. 2d 256, 257 (Fla. 1st DCA 1987) (reversing deputy
commissioner’s failure to order “offset” for unemployment
compensation). But the use of that nomenclature in both decisions
is dictum because that (mis)characterization was not part of the
ratio decidendi in either case and, did not alter the plain meaning
of the statute.
We find no error in the JCC’s ruling that unemployment
compensation benefits paid to a Claimant do not result in an
“offset.”
AFFIRMED.
LEWIS, ROWE, and WINOKUR, JJ., concur.
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_____________________________
Not final until disposition of any timely and
authorized motion under Fla. R. App. P. 9.330 or
9.331.
_____________________________
Scott A. Beatty and David H. Roos of Henderson Franklin Starnes
& Holt, P.A., Naples, for Appellants/Cross-Appellees.
Michael J. Winer of Winer Law Group, P.A., Tampa, and Brian O.
Sutter and Bryan R. Greenberg of All Injuries Law Firm, P.A., Port
Charlotte, for Appellee/Cross-Appellant.
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